Ovarian abscess and heterotopic triplet pregnancy: two complications afterIVF in one patient

A patient is reported, who suffered from ovarian abscess after ovarian punc ture of a functional ovarian cyst. The cyst has developed after administrat ion of a GnRH agonist depot preparation in the preceeding luteal phase. She was planned to be stimulated for IVF according to the long luteal protocol . The abscess was removed by laparoscopy, and stimulation started two month s later after administration of two further GnRH against depot preparations . The patient got pregnant after embryo transfer of three embryos, and a he terotopic triplet pregnancy, with intrauterine twins and a tubal singleton was established. Bilateral salpingectomy was performed, because of bilatera l haematosalpinx and previously described bilateral tubal occlusion. The fu rther pregnancy was uncomplicated.